Provider Demographics
NPI:1356589568
Name:YOUNG, LAUREN GRIFFITH (MHS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:GRIFFITH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MHS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GILLETTE PL
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-5238
Mailing Address - Country:US
Mailing Address - Phone:843-995-1142
Mailing Address - Fax:
Practice Address - Street 1:4 GILLETTE PL
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5238
Practice Address - Country:US
Practice Address - Phone:843-995-1142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3479174400000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No174400000XOther Service ProvidersSpecialist